Regional and Acute Pain Medicine Fellowship

Thank you for your interest in our Regional Anesthesia & Acute Pain Medicine Fellowship Program.

We are an ACGME accredited program. This program commences in August of each year and is 12 months in duration.  

All applicants must be eligible for an unlimited medical license through the Oregon Medical Board. Applicants who are not U.S. citizens must be legally able to work in the U.S. or eligible to obtain authorization to work. J1 visas may be considered.

We offer advanced training in all techniques of orthopedic and Regional Anesthesia (RA). Our patients benefit from a wide range of RA techniques from traditional to cutting edge for surgical anesthesia and/or acute pain control. Fellows are active participants on the RA team. Currently all RA techniques of the upper and lower extremities, as well as truncal blocks, are routinely performed at OHSU. The department places over 4,000 peripheral nerve blocks per year, with over one third of patients receiving a continuous perineural infusion. While the majority of our blocks are placed using ultrasound guidance, fellows will also become proficient using traditional techniques.  Fellowship duties are not limited to the placement of neuraxial or peripheral nerve blocks, but also include patient selection and education as well as coordination of the RA team’s daily activities with nursing staff, anesthesia technicians, the pharmacy, surgeons, colleagues and the adult pain service (APS). 

Mission Statement:

The mission of the program is to be a top ranked Regional Anesthesiology and Acute Pain Medicine Fellowship program in the nation, committed to developing physicians who demonstrate professionalism and clinical excellence, dedication to life-long learning, and commitment to leadership, and advancement of the specialty of anesthesiology and perioperative medicine and within the subspecialty of regional anesthesiology and acute pain medicine.

Program Aims:

  1. Provide an environment that stimulates the spirit of inquiry, initiative, and cooperation and promotes clinical excellence, patient safety, and scholarship
  2. Provide advanced training in the interdisciplinary evaluation and treatment of acute pain including multi-modal and regional anesthesia techniques.
  3. Develop and implement innovative educational curricula and programs in order to graduate the finest perioperative physicians, attract high caliber trainees, and remain a top tier program across the country.
  4. Identify and recruit, train and graduate, high-performing fellows from under-represented minority (URM) groups (as defined by the AAMC).
  5. Create a sense of community and wellness to foster and support ongoing development of faculty and learners, including both faculty-learner and peer-to-peer interactions.

Our RA faculty is large and diverse. Several of our staff are fellowship trained in Regional Anesthesia & Acute Pain or Pain Medicine. We have active basic science, clinical, and education research programs. Our faculty are actively involved in teaching RA at national and international meetings. We have a formal Regional & Acute Pain fellowship curriculum that includes weekly didactics lecture series, Journal Club, cadaver workshops, and utilizes the Anesthesia Education Toolbox (developed here at OHSU). Fellows participate in at least one of the RA team's ongoing research projects, including presentation at department and national meetings, as well as in a RA quality improvement project. In addition to supervising residents, fellows present formal lectures to anesthesiology residents and medical students.

At the completion of the training, fellows will be able to perform a comprehensive array of RA techniques, set up an ambulatory or hospital-based APS and conduct research to advance the specialty of RA.

Nathalie Lunden

Nathalie Lunden, MD
Assistant Professor
Regional Anesthesia & Acute Pain Fellowship Director

Ryan Ivie

Ryan Ivie, MD
Assistant Professor
Regional Anesthesia & Acute Pain Associate Fellowship Director and Division Chief

Prospective fellows

In an effort to make the recruitment process as fair and equitable as possible, we will be participating in the match process for the 2024-2025 academic year. We will be accepting applications and undergoing the match through SF match All of our (2) position will be offered through SF match. Applicant registration begins January 9th, 2023 and OHSU will review all applications for interview until March 31st 2023. Our interview process will be virtual until further notice. Please visit the SF match website for further details, exemptions, and minimum requirements.

For specific questions or information regarding the application process at OHSU, please contact our fellowship coordinator Dana Bigham at 503-494-4878 or by email APOM Fellowship Applications

Title IX compliance

OHSU provides equal opportunities to all individuals without regard to race, color, religion, national origin, disability, age, marital status, sex, sexual orientation, gender, gender identity or expression, veteran status, or any other status protected by law. It does not discriminate on any status protected by law. This policy applies to all employment, education, volunteer, and patient care related activities or in any other aspect of OHSU’s operation. Retaliation for reporting discrimination is prohibited. To make an inquiry or report an incident of discrimination, contact OHSU’s Office of Civil Rights Investigations and Compliance (OCIC) at 503-494-5148,

Title IX of the Education Amendments of 1972 (“Title IX”) protects individuals from discrimination and harassment on the basis of sex or gender in any educational program or activity operated by recipients of federal aid. OHSU, as a recipient of federal funds, complies with Title IX and 34 CFR Part 106 by prohibiting sex and gender discrimination and harassment, which includes sexual misconduct and sexual violence, in education programs, activities, employment, and admissions. Inquiries about Title IX compliance or sex/gender discrimination and harassment may be directed to the OHSU Title IX Coordinator

Inquiries may also be directed to the U.S. Department of Education, Western Region Office for Civil Rights at 206-607-1600,